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在接受选择性和紧急右侧脑膜切除术的患者的护理过程和结果的差异

J Banks^1,2, A Rashid^2,3, T R Wilson¹

¹Doncaster & Bassetlaw Teaching Hospitals NHS Foundation Trust, UK.

Annals of the Royal College of Surgeons of England

|July 31, 2024

概括

右侧结肠癌 (RCC) 的紧急呈现导致明显更差的结果,包括更高的并发症率和死亡率. 患有紧急RCC的患者也减少了获得必要辅助化疗的机会.

科学领域:

结肠直肠癌研究研究
手术瘤学手术瘤学
紧急医疗紧急医疗

背景情况:

高达30%的结直肠癌病例是预后较差的紧急情况.
与左侧瘤相比,右侧结肠癌 (RCC) 的研究不足.
这项研究比较了紧急与可选RCC呈现的结果.

研究的目的:

为了比较癌症护理质量和临床结果.
评估紧急和选择性右侧结肠癌 (RCC) 呈现之间的差异.

主要方法:

多中心,回顾性研究.
包括接受RCC手术治疗的患者 (2017年4月至2022年3月).
紧急和可选队列之间的宿主/瘤因素和结果的比较.

主要成果:

紧急RCC患者 (22%) 面临更高的术后并发症 (59.1%对20.0%) 和90天死亡率 (13.7%对1.3%).
紧急情况与显著更长的住院时间 (10天而不是5天) 有关.
只有29.2%的紧急RCC患者接受了辅助化疗,比选择性病例少得多.

结论:

紧急RCC呈现与短期和长期不良结果有关.
获得辅助化疗的机会不足是紧急RCC的关键问题.
优化紧急RCC的护理可能涉及时间和选择性手术,改善治疗结果和治疗机会.

关键词:

结肠癌是什么意思结肠癌是什么意思结果的结果.

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